Individual
PAUL WILLIAM GIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, 441, HOUSTON, TX 77030-4009
(713) 792-6920
(713) 794-4662
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
J0827
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132404810
—
TX
01
—
8B5500
BCBS
TX
Enumeration date
08/23/2005
Last updated
05/28/2019
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